SPECTRUM INTERNAL MEDICINE, LLC
NPI 1437576659
Clinic/Center - Primary Care in Alpharetta, GA

Active since March 26, 2014CLIA 11D2012609 · Waiver
401 S MAIN ST, SUITE B3, ALPHARETTA, GA 30009(678) 319-9901(678) 319-9902 Get Directions Write a Review

NPPES record last updated: March 26, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Spectrum Internal Medicine, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPECTRUM INTERNAL MEDICINE, LLC (NPI 1437576659) is a healthcare organization registered as a primary care in Alpharetta, Georgia and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through September 7, 2028 and lists Julius Kolawole Adebisi, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1437576659
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSPECTRUM INTERNAL MEDICINE, LLC
Location Address401 S MAIN ST, SUITE B3Alpharetta, GA 30009-1974
Mailing Address401 S Main St, Suite B3Alpharetta, GA 30009-1974 · (678) 319-9901 · Fax (678) 319-9902
Fax(678) 319-9902
Organization SubpartNo
Authorized OfficialJulius Kolawole AdebisiMedical Director · (678) 319-9901
Enumeration DateMarch 26, 2014
✔ NPI 1437576659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in GA · 58939
401 S MAIN ST, Alpharetta, GA 30009

Other Identifiers 3

Medicaid390122159BGA
Medicare PIN202G702174
Medicare UPINH29401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spectrum Internal Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Spectrum Internal Medicine, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1730127713
401 S MAIN ST SUITE C7
Alpharetta, GA 30009
(678) 319-9901
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457724874
2450 OLD MILTON PKWY STE 201
Alpharetta, GA 30009
(470) 267-0350
✔ PECOS✔ Accepts Medicare1.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2012609

Spectrum Internal Medicine, LLC · Alpharetta, GA
Active · expires Sep 7, 2028
CLIA Number11D2012609
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2026
Certificate Expiration DateSeptember 7, 2028
Laboratory DirectorJulius K. Adebisi
Laboratory Phone(678) 319-9901
Laboratory LocationSpectrum Internal Medicine, LLC401 S Main Street, Suite C7, Alpharetta, GA 30009
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spectrum Internal Medicine, LLC's NPI number?

The NPI number for Spectrum Internal Medicine, LLC is 1437576659. It was assigned to this organization in the NPPES registry on March 26, 2014.

Where is Spectrum Internal Medicine, LLC located?

Spectrum Internal Medicine, LLC is located at 401 S Main St Suite B3, Alpharetta, GA 30009. The listed phone number is (678) 319-9901.

What is Spectrum Internal Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Spectrum Internal Medicine, LLC enrolled in Medicare?

Yes. Spectrum Internal Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spectrum Internal Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Spectrum Internal Medicine, LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Spectrum Internal Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2012609) is associated with this NPI, valid through September 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Spectrum Internal Medicine, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Spectrum Internal Medicine, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spectrum Internal Medicine, LLC was last updated on March 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.